Full Name on Passport /IC : Gender : â¡ Male â¡ Female. Date of Birth : Age : Please tick one only: â¡ Malaysian Ci z
WESLEY METHODIST SCHOOL KUALA LUMPUR (INTERNATIONAL) REGISTRATION FORM Before you complete this application, please read the application policy. Please print in black ink and return the completed form to the office. Date of Application:
Enrolment Year :
Present Standard / Form: Seeking Admission To Year: □ Year 7 □ Year 8 □ Year 9 □ Year 10
Section 1: Student’s Personal Details
Full Name on Passport /IC : Gender : □ Male □ Female
Date of Birth :
Age :
Please tick one only: □ Malaysian Ci zen □ Malaysian PR □ Dependent Pass □ Student Pass Birth Certificate No:
NRIC No:
Nationality :
Country/ Place of Birth :
Passport No :
Date Issued :
Date Expires :
Country of Passport :
Type of Visa :
Date Visa Expires :
Ethnic Group : □ Chinese □ Indian □ Malay □ Eurasian □ Other ________________________ Religion : □ Chris an (Methodist) _____________ □ Chris an (other)_______________ Church Attending : ____________________________________ □ Buddhist □ Hindu □ Islam □ Taoist □ Other _____________
Current Home Address : ______________________________________________________________ ___________________________________________ Post Code : __________________________ Mobile No :
House Tel No :
Section 2: Details of Siblings
No
Name
Date of Birth
Age
Sex
School
Std/ Year/ Form
Section 3: Student’s School History Age
Name of School
Country
From (Month,Year)
To (Month,Year)
Level Completed
Any disciplinary actions taken in previous school/s : (Please give details)
Section 4: Details of Accomplishments, Talents, Co‐curricular activities (Please attach
certificates of achievement)
Section 5: Student’s Health History and Special Needs 1. Please provide any other relevant information related to Medical condition and Special Needs: Does the registering student suffer from any illness requiring special medical or attention? YES / NO If YES, please provide details of condition of required care / medication and a letter from the attending doctor. 1. ______________________________________________________________________________ 2. ______________________________________________________________________________ 3. ______________________________________________________________________________ DISCLAIMER In the event of accident or injury to the registering student, the registering parent or guardian herby authorizes the school to administer basic first aid and in the case of serious injury or illness to immediately refer the student to a registered medical practitioner and the school shall not be held liable for any negligent acts or omissions on the part of any third parties or complications in respect of the treatment of the student.
Section 6: Details of Parents/Guardians
FATHER
MOTHER
Full Name :
Nationality :
Malaysia PR :
□ Yes □ No
□ Yes □ No
(For non‐Malaysian)
NRIC :
Passport No. and
Country of Passport : Type of Visa :
Profession /Job
Company Name:
Company
Mobile No :
Office No :
Fax No :
Email Address :
Title:
Address:
Primary Parental Contact (tick one only) □ Father □ Mother
Legal Guardian Contact Details Full Name :
Nationality :
Malaysia PR : □ Yes □ No
NRIC :
Passport No. and Country of Passport :
Type of Visa :
Profession /Job Title & Company Name:
Mobile No :
House Tel No:
Office No :
Fax No:
Current Address :
Email Address : *Please notify the school immediately of any change in address, contact number or email address.
Section 7: Parent / Guardian Declaration
In making this application, I/We undertake and agree 1. To pay a non‐refundable and non‐transferable Application Fee of RM 400.00 with this application as required to sit for a placement test into the School. 2. The Admission of my son/daughter/ward to year 7/8/9/10 will depend on his/her performance in the Entrance Exam conducted by Wesley Methodist International School and subject to the availability of a place and an interview with the Principal (if necessary). 3. I hereby declare that all information given in this form is true and correct and understand that false or inaccurate information in the application may cause this application to be rejected. If my child is found to have been admitted on false or inaccurate information in the application, action (to the extent of termination from school) will be taken.
Date: ____________ Signature: __________________ Name: __________________________ Relationship: Father/ Mother/ Guardian/_____________________
Documents Required For Registration
1. A copy of student’s passport and visa (only for international student) 2. A copy of parent’s passport & work visa (only for international student) 3. A copy of student’s birth certificate 4. A copy of student’s Identity CARD 5. A certified copy of previous school report 6. Student’s medical certificates / immunization record (only for international student) 7. Two recent passport sized color photographs of the student 8. Application Fees
Remarks (for office use only)
Application Fees: _________________________ Date: _________________________________ Receipt No: ___________________________ _________________________________ Signature
Fees Structure for Wesley Methodist School Kuala Lumpur (International) (2016)
SCHEDULED FEES (RM) for 2017 Year 10 – Year 11
Item No
Fees Payable
Year 7 to Year 9
Science
Arts
1
Application Fees
400.00
400.00
400.00
2
Registration Fees
1,200.00
1,200.00
1,200.00
3
Tuition Fees (per annum)
14,000.00
17,000.00
17,000.00
4
Resource & Lab Fees
1,000.00
1,500.00
1,000.00
5
Computer / ICT Fees
1,500.00
1,500.00
1,500.00
6
Consolidated Fees
1,500.00
1,500.00
1,500.00
7
Insurance
40.00
40.00
40.00
8
ICAS Examination Fees
160.00
160.00
160.00
9
Security Deposit
7,000.00
8,500.00
8,500.00
10
English for Foreign Students Fees
3,000.00
3,000.00
3,000.00
Notes : 1. Application Fee is non‐refundable and non‐transferable. It is a one‐time payment upon submission of application form. Cheque payable to WESLEY METHODIST SCHOOL KL (INTERNATIONAL) 2. Security Deposit is to be topped up as the student progresses according to the year level. It is non‐ transferable but refundable provided that one FULL term’s written notice of withdrawal is submitted to the School. In the event that insufficient notice is given, the security deposit will be forfeited. 3. All other fees are invoiced yearly and payable upon commencement of the academic year. 4. All fees paid are neither transferable, refundable or pro‐rated. 5. Tuition fees are invoiced per semester. There are 2 semesters in a year. 6. Uniform and books (text books, workbooks, & exercise books) are not included in the tuition fees. Fees for certain specialised extra‐curricular activities are not included in the fees. 7. Checkpoint and IGCSE Examinations with Cambridge will incur fees which has to be borne by the students. 8. All fees are subjected to a yearly review. 9. The management reserves the right to revise the terms and conditions of admission without prior notification. However, should there be any changes, parents will be duly informed.
General Information SCHOOL HOURS are from 7.30 a.m. to 3.15p.m. Monday to Friday. The formal Assembly is at 7.30a.m. on Mondays. Chapel is at 7.15 a.m. on Thursdays
FOR FURTHER INFORMATION, PLEASE CONTACT THE SCHOOL OFFICE. WESLEY METHODIST SCHOOL KUALA LUMPUR (INTERNATIONAL) Lot 185, Jalan Lima, Off Jalan Sentul 51000 Kuala Lumpur Tel : 03‐40416470 / 03‐40425863 Fax : 03‐40457107 Website : www.wms.edu.my/kl
